Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 10/8/2025

Treatment for Night Terrors

Pharmacologic Treatment

  • The American Academy of Sleep Medicine recommends clonazepam as a primary pharmacologic option for severe, frequent night terrors, used on a short-term basis at bedtime 1, 2

Diagnostic Considerations

  • Night terrors typically occur 1-3 hours after sleep onset during arousal from deep NREM sleep, with a prevalence of 1-6.5% in children aged 1-12 years, peaking at ages 5-7, according to the American Academy of Sleep Medicine 1, 2
  • The American Academy of Sleep Medicine advises against confusing night terrors with nightmare disorder, which requires entirely different treatment 3, 4, 5

REFERENCES

1

position paper for the treatment of nightmare disorder in adults: an american academy of sleep medicine position paper. [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2018

2

position paper for the treatment of nightmare disorder in adults: an american academy of sleep medicine position paper. [LINK]

Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2018

3

Non-Pharmacological Interventions for Nightmare Disorder [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

4

Treatment of Night Terrors [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

5

Nightmare Disorder Treatment [LINK]

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025